ABSTRACT
Prognosis is excellent in colonic carcinoma in case of well differentiated growth. All efforts must be done to diagnose the malignancy at an earlier stage for a better outcome specially if it is well differentiated growth. To compare the different modes of presentation of carcinoma of large bowel in a tertiary care hospital and their association with pathological findings. It is a cross sectional retrospective study. Patients with histological proof of carcinoma were included in the study. Data over the period of two year was collected and analyzed. This study included one hundred patients. Mean age was 49.56 years and 56% of the patients were males. 40% of the patients present between the ages of 40 to 60 years. Mean time of start of symptoms and the time of presentation in the hospital was 6.5 months ranges from 1 to 24 months. 76% of the patients had history of altered bowel habits and 60% had anorexia and weight loss. 41.66% of patients had well differentiated growth while 37.55% of patients had moderately differentiated adenocarcinoma. Majority of the patients with colonic carcinoma had well or moderately differentiated growth. If they are diagnosed and properly treated at an early stage, outcome is good